Fatal Cervical Spine Injury From Diving Accident.

Détails

ID Serval
serval:BIB_79183BEA26AF
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Fatal Cervical Spine Injury From Diving Accident.
Périodique
American Journal of Forensic Medicine and Pathology
Auteur(s)
Voland C., Vilarino R., Grabherr S., Lobrinus J.A., Palmiere C.
ISSN
1533-404X (Electronic)
ISSN-L
0195-7910
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
36
Numéro
3
Pages
216-218
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
Spinal cord injuries result after diving into shallow water, often after incautious jumps head first into water of unknown depth during recreational or sport activities. Mortality is generally due to upper cervical trauma. The authors present a case of a diving-related death in a young woman who underwent medicolegal investigations. The measured water depth at the supposed dive site was 1.40 m. Postmortem radiology and autopsy revealed fractures of the body and the posterior arch of the fifth cervical vertebra, a fracture of the right transverse process of the sixth cervical vertebra and hemorrhages involving the cervical paraspinal muscles. Neuropathology showed a posterior epidural hematoma involving the whole cervical region and a symmetric laceration of the spinal cord located at the fourth and fifth cervical vertebra level, surrounded by multiple petechial hemorrhages. Toxicology revealed the presence of ethanol in both blood and urine samples. The death was attributed to cervical spine fracture (C5-C6), spinal cord contusion, and subsequent drowning. This case highlights the usefulness of postmortem radiology, examination of the deep structures of the neck, toxicology, neuropathology, and a detailed research of signs of drowning to formulate appropriate hypotheses pertaining to the cause and mechanism of death.
Mots-clé
Accidents, Adult, Central Nervous System Depressants/blood, Central Nervous System Depressants/urine, Cervical Vertebrae/injuries, Diving/adverse effects, Drowning/etiology, Ethanol/blood, Ethanol/urine, Female, Humans, Spinal Fractures/etiology, Spinal Fractures/pathology
Pubmed
Web of science
Création de la notice
29/06/2015 9:33
Dernière modification de la notice
20/08/2019 14:35
Données d'usage